NPIMap

Organization Active NPI

Rivertown Medical Clinic

Doing business as Urgent Care and Occupational Medicine

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1962516120
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
GA032941 Issued in GA
Legal business name
RIVERTOWN MEDICAL CLINIC
Doing business as
Urgent Care and Occupational Medicine
Practice address
4328 Armour Rd
Columbus, GA 31904-5204
Phone
(706) 507-1213
Fax
(706) 507-1217
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin Donald Lokkesmoe, M.D.
Title
Owner/Docotr
Phone
(706) 507-1213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X GA032941 GA Primary

Addresses

Primary practice location

4328 Armour Rd
Columbus, GA 31904-5204

Mailing address

4328 Armour Rd
Columbus, GA 31904-5204
Phone (706) 507-1213

Other names 1

  • Urgent Care and Occupational Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

4328 Armour Rd
Columbus, GA 31904
Phone (706) 507-1213

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1962516120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 ARMOUR RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045204",
            "telephone_number": "706-507-1213",
            "fax_number": "706-507-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 ARMOUR RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045204",
            "telephone_number": "706-507-1213",
            "fax_number": "706-507-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTOWN MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "LOKKESMOE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER/DOCOTR",
        "authorized_official_telephone_number": "706-507-1213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "GA032941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care and Occupational Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.